tv Nancy Grace HLN November 8, 2009 1:00am-2:00am EST
today because of the hyde amendment, because funding was not there to eeffectuate their demise. vote for the stupak-pitts amendment. it will save lives. the speaker pro tempore: the gentleman's time has expired. the gentleman from michigan. the gentleman has one minute. mr. stupak: mr. speaker, in closing on our side, i'd ask ms. kaptur of ohio, recognized her for one minute. the speaker pro tempore: the gentlewoman is recognized for one minute. ms. kaptur: i rise in support of the stupak amendment which maintains existing federal law, the hyde amendment on the compelling issue of abortion. compelling issue of abortion. for 34 years, citizens of e weighed in on this important moral and legal issue. let me repeat. this amendment reaffirms long-standing existing -- reaffirms long standing existing law and nothing more. it -- this is what it says.
no federal funds authorized under this act may be used to pay for any abortion or cover any part of the cost of any health plan that includes coverage of abortion except indicates if the life of the mother, rape or incest. the amendment does no more, no less. it is similar to language that applies in federal law on medicaid, medicare, veterans' affairs, the chip program and the federal health employees program which is a model for how this language should be applied. it's been tried, tested and proven. the inclusion of this amendment -- the speaker pro tempore: the gentlelady's time has expired. ms. kaptur: also on the bill -- i urge my colleagues to support the amendment and the bill. thank you. the speaker pro tempore: the gentlelady's time has expired. the gentlelady from colorado. ms. degette: mr. speaker, for unanimous consent request i yield to the gentlelady from california. the speaker pro tempore: the gentlelady from california.
mrs. davis: thank you, mr. speaker. i ask unanimous consent to revise and extend my remarks and rise in opposition to amendment. ms. degette: for unanimous consent, i recognize the gentlelady from texas. the speaker pro tempore: the gentlelady from texas. ms. jackson lee: i rise in strong opposition to this amendment and ask unanimous consent that i may revise and extend my remarks. the speaker pro tempore: without objection. ms. degette: mr. speaker, the gentleman from pennsylvania said exactly what the intention is here. the intention is not simply to extend the hyde amendment. the base bill does that. the base bill says no federal funds will be used in this bill for abortion. it's the intention of our opponent to effectively stop a legal medical procedure from all plans that are in the exchange. even plans that are paid for with private dollars. this is the first time it would expand the hyde exceptions to the private sector market. and, mr. speaker, it would not only affect the poor, it would
affect the middle class. vote no on this hill-conceived amendment. the speaker pro tempore: the gentlelady's time has expired. the question is on the amendment of the gentleman from michigan, mr. stupak. those in favor say aye. those opposed, no. the noes have it. the amendment is not agreed to. mr. stupak: mr. chairman, on that i would ask for a recorded vote. the speaker pro tempore: does the gentleman ask for the yeas and nays? mr. stupak: yes. the speaker pro tempore: the yeas are requested. those in support of the request for a recorded vote will rise for a recorded vote will rise and be counted. >> house republicans offered their own version of the bill that was defeated by 176-258. here is the floor debate on that bill. this is about one hour, 45 minutes. [captions copyright national cable satellite corp. 2009]
[captioning performed by national captioning institute] the rule, i call up the amendment in the nature of a substitute printed in the rule. the speaker pro tempore: the clerk will designate the amendment. the chair: part d, the amendment in a nature of a substitute printed in house report 111-330 offered by mr. boehner of ohio. the speaker pro tempore: pursuant to house resolution 903, the gentleman from ohio, mr. boehner, and a member opposed, each will control 30 minutes. the chair recognizes the gentleman from ohio, but i would ask him to withhold until we get order in the chamber. the speaker pro tempore: the chair would ask everyone to take their seats.
the gentleman may proceed. mr. boehner: mr. speaker, all of us know that our health care delivery system needs help. . there can be broad bipartisan agreement on the kinds of steps we need to take in order to lower the cost of health care in america and expand access. the bill before us in my view is a big government takeover of our health care system that will replace the current health care that americans get. republicans have offered better solutions all year on the major bills that have come to this floor. i think we had a much better solution on the stimulus bill that would have created twice the jobs at half the cost. i think our better solution on the budget clearly had less spending and less debt and
lower deficits. i think our all-of-the-above american energy plan -- the speaker pro tempore: the gentleman will suspend. the gentleman may proceed. mr. boehner: i think our all-of-the-above american energy plan was a much better solution to the national energy tax, the so-called cap and trade bill that was on this floor in june. and i believe what we have before us as the republican substitute is a commonsense plan that takes steps toward reducing the cost of health insurance in america and expand access. simple things like allowing people to buy insurance across state lines, allowing groups of individuals or small businesses to group together for the purposes of buying health insurance like big businesses and unions can today.
getting rid of junk lawsuits that drive up the cost of health care in america and the defensive medicine that doctors have to practice as a result. i think what we have before us, the bill we are offering, is a commonsense approach that does take major steps in the right direction to bring down the cost of health care and to expand access. and i would reserve the balance of my time. the speaker pro tempore: who claims time in opposition? >> mr. speaker. i seek recognition to take control of the time in opposition. i ask unanimous consent that the time for opposition speakers on the substitute amount be divided such that the first 10 minutes are controlled by chairman miller of the committee on education and labor, the second 10 minutes are controlled by chairman rangel of the committee on ways and means, and the final 10 minutes of opposition time are controlled by chairman waxman of the committee on energy and
commerce. the speaker pro tempore: without objection. the gentleman from california is recognized. >> i yield two minutes to the gentleman from new york, mr. tonko. the speaker pro tempore: the gentleman is recognized for two minutes. mr. tonko: thank you, mr. speaker. i'm here to speak in support of the affordable health care for america act. one of the most important pieces of legislation this body has considered since the passage of medicare in 1965 and social security in 1935. mr. speaker, every member of this body has been listening to her or his constituents and they are saying that they are ready for health insurance reform. they need health insurance reform. we listen to what seniors said they wanted better care from their doctors and the doughnut hole eliminated. this bill does that. we listened when young adults told us they were having trouble finding insurance and wanted to stay on their parents' insurance until age 27. this bill does that. we listened when the uninsured told us heartbreaking stories
about going without needed health care and asked us to give them affordable, quality health care insurance. the speaker pro tempore: the gentleman will suspend. we'll be out of here a lot sooner if members respect the speaker in the well. the gentleman may proceed. mr. tonko: thank you, mr. speaker. this bill does that. we listened to -- when the insured told us they were paying too much for insurance and they needed more protections for their health insurance. this bill does that. our colleagues on the other side of the aisle have not listened. they are offering a substitute bill that would not accomplish any of the things our constituents have asked for. instead, they are offering a bill that does not end the discrimination based on pre-existing conditions. does not reduce the number of uninsured americans. does not offer assistance to those struggling to afford health insurance. does not repeal the antitrust exemption for health insurers.
and does not stop price gouging by insurance companies. our bill does all these things and more. mr. speaker, the affordable health care for america act not only brings quality health care within reach of tens of millions of americans, it enhances the care that those with insurance and medicare already receive. this bill is as much about the insured as it is about the uninsured. it is a monumental bill and i urge defeat of the republican substitute and indeed encourage passage of h.r. 3962. mr. speaker, i yield back. the speaker pro tempore: without objection, the gentleman from michigan will control the time. on the proponents' side. >> i yield myself four minutes. the speaker pro tempore: the gentleman is recognized for four minutes. mr. camp: mr. speaker, the american people deserve and demand a commonsense approach to health care reform that, one, makes health care more affordable. two, that guarantees all
americans regardless of pre-existing condition have access to affordable health care. and three, does so without raising taxes. without increasing the deficit and without the federal government making health care decisions that should be made by patients and doctors. the commonsense health care reform and accountability act, the house republican health care bill, does that. the plan offered today by the speaker does not. just some of the highlights of the republicans' health care reform and affordability act include lowering health care premiums. the republican plan will lower health care premiums for american families and small businesses. addressing americans' number one priority for health care reform. according to the congressional budget office, the republican health care reforms would reduce premiums by up to 3% for americans who get insurance through a large business. up to 8% for americans without employer-sponsored insurance,
and up to 10% for those working for small business. c.b.o. has not made a claim that the democrats' bill would lower premiums at all. what do these numbers mean? it means families who do not have health insurance in 2016 through their job could buy health insurance that is $5,000 less expensive than the cheapest plan the democrats offer. the republican plan guarantees access to affordable health care for those with pre-existing conditions. republicans create universal access programs that expand and reform high risk pools and reinsurance programs to guarantee that all americans, regardless of pre-existing conditions or past illnesses, have access to affordable care while lowering cost for all americans. the republican plan reduces the number of junk lawsuits which saves taxpayers money and lowers premiums by enacting medical liability reforms modeled after the successful state laws of california and
texas. the republican plan prevents insurers from wrongly canceling a policy unless a person commits fraud. the republican plan encourages small business health plans. these employers can pool together and offer health care at lower prices just as large corporations and labor unions do today. the republican plan encourages innovative programs by rewarding states that reduce premiums and the number of uninsured. in comparison the democrat bill adds a new unfunded mandate states cannot afford with their over $400 billion expansion of medicaid. the republican plan allows americans to buy insurance across state lines and find the health care plan that best meets their needs at a cost they can afford. the republican plan promotes prevention and wellness by more than doubling the financial incentive employers may reward employees who adopt healthier lifestyles. republicans enhance health savings accounts by allowing americans to use h.s.a. funds
to pay premiums for high deductible health insurance. and the republican plan allows dependents to remain on their parents' policies up to the age of 25. the health insurance reforms in the republican bill will significantly reduce health care premiums. insure millions of americans, guarantee those with pre-existing conditions have access to quality, affordable care, and we do all of this without raising taxes, without spending $1 trillion we don't have, without cutting medicare, and without putting some new health czar in between doctors and patients which is what the democrat majority does in their government takeover bill. clearly the bill offered by the speaker is not what the american people want. americans are clamoring for lower cost health care and that is what the republican plan offers. i urge my colleagues to reject the democrats' government takeover of health care and vote yes on the republican substitute that will lower health care premiums. i reserve the balance of my time.
the speaker pro tempore: the chair would remind members not to traffic the well when another member is speaking. the gentleman from california. mr. miller: i yield 2 1/2 minutes to the gentleman from massachusetts, mr. tierney, member of the committee. the speaker pro tempore: the gentleman is recognized for 2 1/2 minutes. mr. tierney: since 1995 when our republican colleagues held the majority in the house of representatives until 2007 when they relinquished that and the voters threw them out, they had conexactly nothing, nothing with respect -- exactly nothing, nothing with respect to the health care crisis. now they want to come in and do something. they want you to pay less for getting less. the one thing they tried to do in 2003 was put pharmaceutical prescription drugs in medicare which they did by giving seniors a so-called doughnut hole they had to pay for and costing us $600 billion on our current debt. my friends, the only ones they made happy then were the
pharmaceutical companies and the only ones they want to make happy now are the private insurance companies. they want to try to kill reform that they can't kill reform they want to give them this gift of a republican substitute. while they sat idle since 1995, family health insurance policies rose from 7% of medium income to 17%. 60% of families reporting bankruptcies did so in part because of health care cost. 46 million americans went uninsured. 85% of those in working families. small business premiums went up 129%. 28 million of our uninsured are small business owners, employees, or their families. small businesses are projected to $52.1 billion going forward in the next decade if we continue under the republican path of do nothing. the question is whose on our side? who is on the side of the consumers, individuals, small businesses, and the families. that is the bill that the democrat to put forward on this floor. it is affordable, it is health
care for every american. if you compare the two bills, you'll see the congressional budget office says the republicans may, may save you from zero to 3% on 80% of the private premiums. the democratic bill saves you 12%. the democratic bill covers 96% of americans. the republicans in 2019 will leave you exactly where you are today, covering only 83% of the people. leaving by that time 52 million uninsured. we'll end discrimination against people with pre-existing conditions. they'll study it. we'll have an exchange for small business employees so they get better price, comparable to what large companies have now been able to get. they'll do nothing of the kind except let you shop for a place to get your insurance that might cost you less because you get less. you'll be able to have a race to the bottom where insurance companies will be able to avoid consumer protections of states and have factors fraud almost
indiscriminately. the speaker pro tempore: the gentleman's time has expired. mr. tierney: you pay less because you get less. thank you. the speaker pro tempore: gentleman from michigan. mr. camp: mr. speaker, i yield myself 15 seconds. the speaker pro tempore: the gentleman is recognized. mr. camp: when the republicans were in the majority we passed a children's health initiative. a prescription drug plan for seniors. we put wellness into medicare. we established portability so people could change jobs and keep their health care. and established health savings accounts. our record on health care is strong. what we need is this continuation of this step by step approach to comprehensive health care reform. now i would yield five minutes to the distinguished gentleman from indiana, mr. pence. the speaker pro tempore: the gentleman is recognized for five minutes. mr. pence: mr. speaker, i rise in support of the republican substitute and ask unanimous consent to revise and extend my remarks. the speaker pro tempore: without objection. mr. pence: after months of overwhelming public opposition to a government takeover of health care, liberal democrats here in washington are choosing to ignore the clear voice of the american people, bringing
forth a freight train of run away federal spending, bloated bureaucracy, mandates, and higher taxes. even a few courageous democrats have been willing to speak out. in opposing the bill the distinguished democrat chairman of the armed services committee, ike skelton, a man who knew president truman, said, and i quote, that he had, quote, serious concerns for missourian who is have private insurance plans they like, closed quote. my democrat colleague, dan boren, of oklahoma said, quote, the worst thing we could do in a recession is raise taxes. and this bill does just that. as these democrat colleagues attest, if the pelosi health care bill passes today you'll probably lose your health insurance and you might just lose your job. the pelosi health care plan targets us when we are most vulnerable. illness, our own or more importantly the illness of a parent, spouse, or a child has
the capacity to suspend our priorities. what was important before the crisis grows dim in the harsh light of disease affecting a loved one. the result -- little by little in the midst of a family crisis we yield our freedoms and our resources to the ever-growing appetite of the federal government. . but in democrats think that's what we want, you don't know the america that i know. mike is my cousin. he's an extraordinary young man and he's been struggling with cancer but throughout has maintained his faith in christ and his courage, has been an inspiration to us all. well, mike wrote me an email the other day and he gave me permission to show it. with a cancer patient with limited insurance options, he's awaiting for experimental treatment.
he seems like the kind of american that our democrat colleagues want government-run insurance. but they don't know mike. and he said, quote, if this was a government bureaucracy i have no faith that it would be processed in a timely manner. and even then if it would be approved. the idea of a public health care option, he wrote, as a chronic cancer patient scares the living hell out of me. i feel at this moment in time you're fighting for me and my life. please, please, please, don't give in or give up. michael, we won't. truth is, this debate is not just about health care. it's about who we are as a nation. as president reagan said, it's about whether we abandon the american revolution and confess that a little intellectual elite in a far distant capitol
can plan our lives better than we can plan them ourselves. i greeted about 50 hooziers, mostly in wheelchairs down at the world war ii memorial. they are here for their first and maybe their only visit to that monument built in their honor. i thought about those brave men and what sustained them in those days where the survival of democracy was hung in the balance. i believe it must have been because they were fighting for a cause more important than their health. or even their life. and that cause was freedom. in the coming hours, we are going to take a vote of incalculable significance to the american people and we will see what our so-called blue dog democrat colleagues are made of. we'll see whether democrats who profess to believe in limited government will take a stand or whether they'll fold under the weight of the democratic majority and the white house. look, i know from personal
experience it's no easy thing to take on your president or your party on a major piece of legislation. but let me assure my colleagues, decent americans all, if you will take this stand for freedom, for the right to live and work and care for a family without the unnecessary intrusion of the government, i believe with all my heart that you will know for the rest of your lives just what those men in wheelchairs have known every day since they came home, that when freedom hung in the balance, you did freedom's work. and the american people will never forget. i yield back the balance of my time. the speaker pro tempore: the gentleman from california. mr. miller: i yield 1 1/2 minutes to the gentleman from virginia, mr. scott, a member
of the committee. the speaker pro tempore: the gentleman is recognized for 1 1/2 minutes. mr. scott: i ask unanimous consent to revise and extend my remarks. the speaker pro tempore: without objection, so ordered. mr. scott: we have heard about the freedom to be insured. people in my district doesn't want a government-run medicare so they can be a freedom to be uninsured and those without insurance do not view as themselves having freedom. they want insurance. the comprehensive affordable health care affordable act is a bill that does not help those with pre-existing conditions. it does, however, attack innocent victims of medical malpractice. medical malpractice represents less than .3% of all health care costs and yet the republican substitute seems to blame those on innocent victims of medical malpractice. for those victims the bill limited the ability to hire a
lawyer, complicates the lawsuit, shifts the costs of medical malpractice from the doctors to the victim's own private insurance and in some cases makes them lose the right to sue. none of those provisions were passed in previous attempts when the republicans controlled the house, the senate and the white house and they should not be passed now. the substitute should be defeated. i yield back the balance of my time. the speaker pro tempore: the gentleman from michigan. >> at this time i yield three minutes to the distinguished gentleman from michigan. the speaker pro tempore: the gentleman is recognized for three minutes. mr. mccotter: i thank the gentleman. mr. speaker, as the health redistribution health bill before us, it further proves democrats are the party of the past. their antiquated government-run bill is ill-suited to our time. we do not live on a
government-run globe. we live in a people-powered world. one awakening to america's revolutionary experiment and human freedom and self-government. today from the palms of our hand we can traverse, distant strands of earth to access friends and goods. why in the world would we put in the palm of a bureaucrat's hand our health care? if this is precisely what the voices of ideologues demand, namely that our revolution and the unprecedented expansion of human empowerment be buried beneath big government, they are fwrafely mistaken. amidst our constantly and ever changing time, our generation's innovation revolution is bearing big government in history. thus, the republicans oppose the democrats' mammoth government-run takeover of
americans' health care. instead, we want to empower americans, the citizens and consumers and advance patient-centered wellness. our plan will increase the supply of health care to meet rising demand and reduce costs through such sensible, affordable and helpful reform as any exclusions for pre-existing conditions, reforming medical liability laws, expand health savings accounts, allow small businesses to ban together to provide coverage for employees, permitting health insurance sales across state lines. the speaker pro tempore: the gentleman will suspend. the gentleman may proceed. mr. mccotter: and incentivizing preventative health care and wellness. all this can be achieved without trillions of dollars in new spending, taxes, deficits and without big government controlling your health care
decisions. trapped in the path, there are those who ignore behind closed doors the opportunities of our age. if democrats impose the government-run takeover of health care on the american people, the consequences will be higher costs, lower quality, fewer choices and lost jobs during this painful recession. but for those who have an abiding faith in our free republic's faith and people, there -- republic's people, they will have a patient-centered wellness. pray we do. i yield back. the speaker pro tempore: the gentleman from oregon. -- california. mr. miller: i yield to mr. andrews two minutes. the speaker pro tempore: the gentleman is recognized for two minutes. mr. andrews: i ask unanimous consent to revise and extend. the speaker pro tempore: without objection. mr. andrews: thank you, mr. speaker.
when you can't win an argument on the facts you win on something else. the republicans allow the insurance companies to ok denying them on pre-existing conditions. and they don't ignore the uninsured. i give them some credit for that. there will be 50 million uninsured in 2010. they do change that. their plan would make it 55 million uninsured 10 years from now. so they're standing on a motion when we hear a member say this. we cannot stand idlely by now as the nation is urged to embark on an ill-conceived venture on government-run medicine, the end in which no one can see and from which the patient is certain to be the ultimate sufferer. but the member wasn't a current member. and the time wasn't now. and the issue wasn't this bill. the member was derwood hall, the time was 1965 and the issue was medicare. they were wrong then. they are wrong now, and their
substitute is wrong. you should vote no. the speaker pro tempore: the gentleman from california. mr. miller: i yield myself two minutes. the speaker pro tempore: the gentleman is recognized for two minutes. mr. miller: mr. speaker, members of the house, if the republicans' health care plan was a plan for a fire department, they would rush into a burning building and they would rush out and leave everybody behind. if their plan was an evacuation plan, it would be like katrina when they got all done evacuating people they left them all behind. they say their plan is inexpensive. they say their plan saves somebody money. but 10 years from now there's as many uninsured as there is now. at the end of their watch after 12 years of control of this
congress, eight years with control of the white house at the same time, they left behind 37 million americans without health insurance. that's what they left behind on their watch. and now come forth with a plan for the future. and over the next decade they are going to leave behind 50 million americans. want to buy it? want to try it? want to sell it? come on, america, buy this one. you're guaranteed to be left behind if you're left behind today. what a plan. god, save us. the speaker pro tempore: who yields time? >> at this time i yield three minutes to the distinguished gentleman from texas, the ranking member of the energy and commerce committee, mr. barton. the speaker pro tempore: the gentleman from texas is
recognized for three minutes. mr. barton: mr. speaker, i ask unanimous consent to revise and extend my remarks. the speaker pro tempore: without objection. mr. barton: mr. speaker, i asked the chairman of the education and labor committee -- what we have here is a failure to communicate or perhaps a difference in philosophy. the democrats have decided that the bottom line is coverage. by golly, coverage no matter what. whether you want to be covered or not, you're going to be. we're going to have an employer mandate. we're going to have an employee mandate, an individual mandate. we're going to have a premium mandate. we're going to have how you cover the insurance, a comparative research council to dictate the practice of medicine. we're going to raise medicaid to 150% above poverty and automatically enroll everybody in this country whether they want to be or not. we are going to tell every
young american who's decided that they don't want to pay those premiums, they want to save up to get married or to buy a home, by golly, they're going to have to take insurance and they're going to pay three to four times what they would under the current system because there's only a 2:1 ratio. so they are going to get their coverage at a cost of $1.2 trillion. now, we have a different philosophy. we think you need to control costs, but we also agree that you have to provide access to the private insurance market if you can't get it today and you want it. congressman miller talked about the 40 million to 50 million americans uninsured and he's right. but of those 40 million to 50 million, 15 million to 20 million are in this country illegally. 10 million to 15 million are
young americans who don't want insurance. when you really boil it down, there are five million to 10 million americans who have a pre-existing country or work where their insurance is not provided and they can't afford it. our plan covers them. it gives them the opportunity. it doesn't give them the money. but it fwiffs them the opportunity. -- but it gives them the opportunity. so we have a delirches in philosophy. we don't believe in mandates -- so we have a difference in philosophy. we don't believe in mandates but we believe in individual opportunity we believe in individual -- we believe in lower taxes and we believe in a plan that will lower premiums at an average of $5,000 per person per year for the next 10 years. that's what c.b.o. says. that's not me. that's the c.b.o. so there is a choice. bigger government, more mandates, more control, less
freedom, lower costs, more opportunity, more freedom, more choice. i vote for more freedom. vote no on the big government plan. vote yes on the individual opportunity plan. . the speaker pro tempore: who yields time? mr. rangel: thank you, chairman. i would at this time like to ask as the chairman of the ways and means subcommittee on health to take a minute. the speaker pro tempore: the gentleman is recognized for one minute. mr. rangel: i'd like at this time to thank him for the great work that he's done over the years not just for our committee but for this congress. i'd like to thank you publicly. mr. stark: i thank the chairman
for yielding. mr. speaker, the republican substitute's not a substitute on health reform. it substitutes gifts to belty insurance companies -- to wealthy insurance companies. their bill spends $61 billion over the next decade and what would the american public get for that investment? five million more uninsured people than we have in america today. that's not a conservative solution. it's no solution at all. our legislation expands coverage to 36 million more americans. reforms the i shurens market to interend abusive practices. provides financial assistance to lower income, and middle income families. creates a public health insurance option. provides security for our seniors. and protects our children's futures by not adding one dime to the deficit. a vote for the republican substitute is nothing more than
a vote for transferring money to wealthy insurance companies. vote no on the republican substitute. and yes to provide affordable quality health care for all americans. the speaker pro tempore: the gentleman's time has expired. the gentleman from michigan. mr. camp: at this time i yield one minute to the gentleman from south carolina, mr. brown. the speaker pro tempore: the gentleman is recognized for one minute. mr. brown: mr. speaker, i rise in strong support of the republican amendment and through health care reform. our health plan makes the cost saving changes so sorely needed in our health care systems without forcing our children and grandchildren to unending debt. this amendment will allow insurance to be bought across state lines to drive down cost and allow small businesses to band together in order to negotiate fair and affordable coverage. furthermore, this amendment improves quality, putting you and your doctor in charge of
your care by removing the powers of insurance companies and trial lawyers. finally, this amendment assures that the taxpayers' dollars my constituents in south carolina's first district pay to the federal treasurer never finds their way to an abortion clinic. mr. speaker, republicans have a better plan. i urge all of my colleagues to support this amendment. and urge them to vote no on final passage. thank you. i yield back. the speaker pro tempore: gentleman from new york. mr. rangel: i would like to have you recognize for two minutes dr. mcdermott, the gentleman from washington, who worked for his whole career down here to improve the quality of health care for all americans. the speaker pro tempore: the gentleman is recognized for two minutes. mr. mcdermott: i ask unanimous consent to revise and extend my remarks. the speaker pro tempore: without objection. mr. mcdermott: mr. speaker, the
republican health plan has been in effect since 1995. a friend of mine came to new york, had some problems, got on the phone to call a doctor, and the first question that is always asked is what kind of insurance do you have? when he said he didn't have any, they said, well, we can't take care of you unless you come to the office with $250 in cash. we'll see you if you do that. he said i don't have that kind of money. they said then go to the emergency room. that's where 50 million people in this country are today. go to the emergency room if you can't come with the cash to hand it to the doctor. my office phone today has been ringing off the hook with people demanding that we have health care now. and the republican alternative doesn't help anyone but protect
the insurance companies. the bankruptcy of this plan is pretty clear to everybody, health analyst, the media, "new york times," the c.b.o. all agree that the republican plan will leave 42 million people with nothing. now, the republican plan does nothing to help the seniors. it really isn't a plan. it's just a bunch of stuff they scraped up off the floor they had laying around for 12 years and did nothing. now, why don't they put forward a plan? i'll tell you i have cracked the code. this plan they brought out here, they either haven't read their own bill because they wouldn't have -- you couldn't keep a straight face and come out here and say it was plan. or they would rather spend more time hating government than helping people. remember what they did in new orleans. that's what their attitude about government is. don't make it work for the people. just let people understand you're on your own, folks.
that's our plan. we believe in freedom. you're free to be on your own. but most people can't take care of their health care problems on their own. they are lucky if they can. vote for the bill. the speaker pro tempore: who yields time? mr. rangel: congressman lloyd doggett from texas, it's my honor to yield two minutes to him. the speaker pro tempore: the gentleman from texas is recognized for two minutes. mr. donget: to cover our huge medical bills in texas, they held a main street pancake supper, an auction at the american legion. health care shouldn't depend on the kindness of strangers or goodness of neighbors and certainly not on the just say
no of the republican party or the weak tea parties brewed up by the insurance party. now they offer a scheme as skimpy as a hospital gown. they do nothing to help seniors. their proposal is inefficient, ineffective, and wasteful. masquerading as reform, their bill authorizes insurers to continue denying coverage for pre-existing health conditions like acne or c-section. republican obstructionism has itself become one giant pre-existing condition to meaningful change. this is a typical old time republican medicine show. do a little bit for 5% of the people, do nothing for the other 95% of the uninsured. and leave the portion of american families who are uninsured the same tomorrow as today. the only thing they propose more of is more insurance policy loopholes.
freedom, they want the freedom to go broke after a medical emergency. the freedom to have more bankruptcies, the number one cause of personal bankruptcy in america today. we cannot secure bipartisan support for health insurance reform tonight because they don't support any real solutions for the uninsured. our democratic plan is a lifesaver for 12 times as many americans, and it's a dollar saver, responsibly reducing the national debt by $36 billion more than this phony republican scheme. now is the time for a truly historic choice. the republicans have chosen to side again with the big insurance monopolies. we choose to strengthen medicare. we choose to stand up for the millions of struggling families who have been denied health care access for too long.
mr. rangel: could i ask how much time i have remaining, mr. speaker? the speaker pro tempore: the gentleman from new york has five minutes remaining. mr. rangel: i'd like to take two minutes of that and ask mr. blumenauer to share the great contribution he has made and the loopholes we find in the republican substitute. the speaker pro tempore: the gentleman is recognized for two minutes. mr. blumenauer: i appreciate the gentleman's courtesy. i hope every american examples the plan that has been offered to us by the republicans. our citizens are outraged by practices of taking away insurance when you need it or denying coverage for pre-existing conditions. our bill fixes it. you won't find it in the republican bill. republicans strip out provilingtses -- provisions so important to oregon and other low cost, high quality states. they do not deal with those vast regional disparities. they ignore the extra cost
faced by seniors caught in the prescription drug doughnut hole while democrats provide financial relief within the next two months. if republicans have their way, there will be more uninsured americans in 10 years than there are today. weaker protections, ignore the needs of the most vulnerable, yet the c.b.o. says the republican plan will increase the deficit by $36 billion more than the democratic plan. mr. speaker, this is a colossal failure of imagination. the republicans could have passed this package any time during the six years they and george bush ran everything. they didn't bother because it wasn't worth it. last march republican minority leader boehner famously said that his members shouldn't legislate.
with this package as the best they could do, the republicans have met the challenge not to legislate. the speaker pro tempore: gentleman from michigan. mr. camp: at this time i yield three minutes to the gentleman from missouri, mr. blunt. the speaker pro tempore: the gentleman will suspend. members will take seats or leave the chamber mr. blunt: i thank the gentleman for yielding. and the republican congresses did send important parts of this plan, the house to the other body. we sent lawsuit abuse reform seven times. we sent associated health plans at least half a dozen times. they didn't get to the floor. we continue to send the elements of this plan that save every taxpayer money and also save every insured american money. this is the only plan that
reduces the cost of insurance for every group of insured americans. one of the goals that the president set for health care reform was to reduce the cost of premiums. this is the only plan that does that. it does it for individuals. it does it for small businesses. it does it for large groups. this is a plan where we can provide access to coverage for everyone regardless of pre-existing conditions. we don't spend $1.3 trillion to do that. we spend about $23 billion to make the risk pools work better and insure access for everybody. we are for access for everybody for coverage. we are just not for spending $1 trillion to create that access. this plan lowers premiums, it prohibits insurance companies from canceling policies, it prohibits insurance companies from capping the lifetime
expenditures that those policies might occur. one of the reasons that people have their -- there are more people uninsured at the end of 10 years under this plan is when our friends on the other side insisted on the children's health insurance plan, they put everybody that goes on that plan in the first five years back into no insurance in the last five years. look at the numbers. that's where those numbers go up. you can pretend our plan puts the numbers up. we are not the one that said we are going to insure all children for five years and the in the second five years they are back to where they are today. check the numbers. look at what this does for premiums. look what this does for families. look what this does for individuals. this is a plan that truly does keep what works and fix what's broken. the president repeatedly has said, everyone if you like what you have you should be able to keep it.
this is the only plan that would allow that pledge to be made. and be kept. mr. speaker, i encourage my colleagues to support this plan. let's take these first steps that work without bankrupting the american people. i urge support of this plan. i yield back. the speaker pro tempore: the gentleman from new york has -- mr. rangel: i would like to recognize ron kind, two minutes. the speaker pro tempore: 3 1/2 minutes remaining. mr. rangel: two of those minutes and thank him for the great contributions he's made to looking at health care the way it should be and that is value and not volume. the speaker pro tempore: the gentleman from wisconsin is recognized for two minutes. mr. kind: i ask unanimous consent to revise and extend my remarks. the speaker pro tempore: without objection. members will please take seats. and multiple conversation. -- muffle conversation. the gentleman may proceed. mr. kind: thank you, mr.
speaker. mr. speaker, let's be clear. we really face three choices here tonight. our plan, their plan, and the consequences of doing nothing. but we know what inaction will bring already. we will pay more. we will get less. and we will bankrupt ourselves as a nation due to rising health care costs. let's just take a moment and compare the two plans before us this evening. according to the congressional budget office not only is our health care reform plan completely paid for, but we reduce the deficit by $109 billion in the first 10 years alone. they by only $68 billion. we cover an additional 36 million uninsured americans in this country. they increase the number of uninsured from 47 million today to over 52 million by 2019. we cover 96% of americans under our plan. they, 83%. we give small businesses tax credits to use in the national exchange to make it more affordable for them. they do nothing.
we banned discrimination basted on pre-existing conditions. they do nothing. they closed the doughnut hole for seniors in medicare. they do nothing. most importantly, they do nothing to reform our health care and how we pay for it in this country. we change the fee-for-service payment under medicare, which is all volume based, to a reimbursement system that rewards quality and the value of care. why is this important? because studies show that we are spending over $800 billion every year on tests and procedures that don't work. they don't improve patient care. and because of overtreatment in too many instances we are making patients worse off rather than better off. our payment reform plan has the best potential of increasing the quality of care for all americans at subtanksly lower price. they do nothing. mr. speaker, just two months ago president obama stood in this chamber and reminded us
what the true character of the american spirit is all about. he reminded us that we did not come here to fear our future but to shape it. that is the historic opportunity that we have before us this evening. the speaker pro tempore: the gentleman's time has expired. mr. kind: i ask my colleagues to support it. mr. rangel: 30 additional seconds. mr. kind: i ask my colleagues to sport true reform and provide all americans the access, the affordable and quality of care that they all deserve. i yield back my time. i yield back my time. . 3
even though it was only tuesday that they brought something to us to look at, at least we know they are going in the right direction. when we tried to explain this to the american people, not only now but in the future as to when they had an opportunity, they lost it on social security. they said government would become too big. they lost it on medicaid. they said that would be too much for the poor folks, that they should have freedom instead of health care. and they certainly lost it in medicare when they made it appear as though there would be a takeover. now it just seems to me they have proven how well government can do, and these programs and the fact of it in lieu of just plain freedom, in lieu of telling people that can just get insurance if they're at risk, the whole idea that people who cannot afford to do this at least have the opportunity to do
it. so, mr. speaker, i just hope that some of those on the other side might allow plurality to go beyond this. beyond just party loyalty. at this time it gives me pleasure to present to this body chairman blackburn who has done so much to make this a re tl -- reality. i yield to him. >> we reserve our time. the speaker pro tempore: the gentleman from california. >> mr. speaker, i'm pleased to yield one minute to the gentleman from vermont, mr. welch. the speaker pro tempore: the gentleman is recognized for one minute. mr. welch: thank you, mr. speaker. tonight the question before congress is neither new nor complicated. will we do what it takes to
make health care affordable and available to all americans? our predecessors in congress faced similar choices when they extended voting rights to all americans, established social security and medicare for all seniors. mr. speaker, congress faces those challenges and we are better for it. we did so not without conflict and controversy but with some bipartisan support. tonight is different. unique. our republican friends have assured us that not a single member of their caucus will vote for health care reform. every single person will vote no. the republicans' alternative says to the americans with a pre-existing condition, you are on your own. to the 47 million americans without insurance, you're on your own. to the millions of americans who can't afford the coverage that they have, you're on your own. our health care bill has a different philosophy. the one that prevailed when democrats and some republicans
passed social security voting rights and medicare, we are in it together. the speaker pro tempore: let the chair indicate that the gentleman from michigan has 9 1/4 remaining. mr. waxman has nine minutes remaining. mr. miller has two minutes remaining. who yields time? >> mr. speaker, -- mr. waxman: mr. speaker, i yield at this point to the distinguished member of our committee, the chairman of the energy subcommittee, previously the chairman of the telecommunications subcommittee, and a very highly respected member of this body, the gentleman from massachusetts, mr. markey, for two minutes. the speaker pro tempore: the gentleman is recognized for two minutes.
mr. markey: the republican plan is really quite simple. you're on your own. the republican plan tells americans if you get sick and don't have insurance, you're on your own. the republican plan tells americans, if you are denied coverage because of a pre-existing condition, you are on your own. the republican leaders in washington seem to be suffering from their own pre-existing condition, a heart of stone. if you kick them in the heart, you would break your toe. they say that the democratic plan will put the government between you and your doctor. but the doctors who make up the american medical association support the democratic bill and not the republican bill. the republicans claim the democratic bill will hurt seniors, but aarp has endorsed the democratic bill and not the republican bill. why does aarp support the democratic bill? because the democratic bill will close the medicare part d
doughnut hole for seniors. the republican bill does not. we provide support for low-income seniors, they do not. we will extend the solvency of medicare, they do not. right now, 60% of all bankruptcies in america are because of medical expenses. democratic bills make sure that never happens again. the republican bill does not. you know, the g.o.p. used to stand for grand old party. now it stands for grand stand, opoise, and pretend. they grandstand with phony claims about nonexist tent death panels, they oppose any real reform and with this substitute, they pretend to offer a solution while really doing nothing. g.o.p. grandstand, oppose, and pretend. make no mistake about it, the republican substitute is not real reform. it does nothing to curb skyrocketing health care costs. it does nothing to provide real insurance coverage to millions
who are now uninsured. it does nothing to stop the unfair practices of insurance companies. i urge my colleagues to vote no on the republican do-nothing substitute. the speaker pro tempore: the gentleman's time has expired. the gentleman from michigan. >> mr. speaker, i yield one minute to the gentleman from florida. the speaker pro tempore: the gentleman is recognized for one minute. the gentleman will suspend. the gentleman is recognized. mr. mica: this is a sad day for congress and in particular a sad die for -- day for americans who lack health care coverage. while democrat efforts to resolve health care problems may be well intended, in fact they totally misthe -- miss the mark. people want lower premium, increased access, less costs, and less rap